Incidenţa actuală şi particularităţile infecţiilor nosocomiale septico-purulente în secţiile de chirurgie aseptică

Abstract

Background: Nosocomial infections continue to be a pressing problem for all medical institutions and for those of surgical profile in particular. According to the WHO study, conducted in 14 countries of the world, the level of registration of nosocomial infections achieve 21.0% of the number of the hospitalized patients. Material and methods: Based on the retrospective study of 462 observation forms of patients hospitalized in aseptic surgery department in 2010 the true incidence of purulent-septic infections has been evaluated, which index has made up 123.4‰. Also such risk factors as the character of the surgery, the patients’sex, the presence of concomitant pathologies, the hospitalization mode, the basic diagnosis, the length and number of surgical interventions have been estimated. In total 249 record cards of the patients treated with conservative methods and 213 record cards of the patients treated by surgical methods have been studied. When conducting the epidemiological analysis the extensive and intensive indices, an absolute risk, an attributive risk and a relative risk have been studied. Results: It has been found that the duration of hospitalization of the patients with purulent-septic complications is on average 12.859 bed/days and it is by 7.326 bed/days longer than the duration of hospitalization of the patients without purulent-septic complications. Conclusions: In the structure of septic-purulent infections prevail: peritonitis (35.1%), pneumonia (24.6%) and purulent wound infections (19.3%).